Medscape InDiscussion: COVID-19

The Future of COVID-19 and Approaches to Living With a New Endemic

Drs Matteo Bassetti and Cristina Mussini discuss the future of COVID-19 and sustainable approaches to living with an endemic. Relevant disclosures can be found with the episode show notes on Medscape (https://www.medscape.com/viewarticle/989643). The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals. Resources Barriers to and Strategies to Address COVID-19 Testing Hesitancy: A Rapid Scoping Review https://pubmed.ncbi.nlm.nih.gov/35422031/ Factors Associated With Mortality Among Elderly People in the COVID-19 Pandemic (SARS-CoV-2): A Systematic Review and Meta-Analysis https://pubmed.ncbi.nlm.nih.gov/34360301/ COVID-19 and Lung Pathologies https://pubmed.ncbi.nlm.nih.gov/34333882/ Editorial: A Rapid Global Increase in COVID-19 Is Due to the Emergence of the EG.5 (Eris) Subvariant of Omicron SARS-CoV-2 https://pubmed.ncbi.nlm.nih.gov/37654205/ Covid-19: Scientists Sound Alarm Over New BA.2.86 "Pirola" Variant https://pubmed.ncbi.nlm.nih.gov/37620014/ Recommendations for the Management of Drug-Drug Interactions Between the COVID-19 Antiviral Nirmatrelvir/Ritonavir (Paxlovid) and Comedications https://pubmed.ncbi.nlm.nih.gov/35567754/ Early Remdesivir to Prevent Progression to Severe Covid-19 in Outpatients https://pubmed.ncbi.nlm.nih.gov/34937145/ Characterization of an EG.5.1 Clinical Isolate in Vitro and in Vivo https://www.biorxiv.org/content/10.1101/2023.08.31.555819v1 Omicron: The Pandemic Propagator and Lockdown Instigator - What Can Be Learnt From South Africa and Such Discoveries in Future https://pubmed.ncbi.nlm.nih.gov/35070471/ Systematic Lung Ultrasound in Omicron-Type vs. Wild-Type COVID-19 https://pubmed.ncbi.nlm.nih.gov/36288539/ Sospensione di Utilizzo del Medicinale Lagevrio® (Molnupiravir) https://www.aifa.gov.it/-/sospensione_utilizzo_lagevrio_molnupiravir

The Role of Public Health, Vaccines, and Home Care in COVID-19 Prevention

Drs Matteo Bassetti and Giuseppe Remuzzi discuss the future of COVID prevention, vaccination priorities, new variants, and home-based healthcare in the coming winter. Relevant disclosures can be found with the episode show notes on Medscape (https://www.medscape.com/viewarticle/989642). The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for healthcare professionals. Resources Coronavirus Disease 2019 (COVID-19) Treatment & Management https://emedicine.medscape.com/article/2500114-treatment The Lost Days That Made Bergamo a Coronavirus Tragedy https://www.nytimes.com/2020/11/29/world/europe/coronavirus-bergamo-italy.html ACE2 Angiotensin Converting Enzyme https://www.ncbi.nlm.nih.gov/gene/59272 Renin Angiotensin System https://www.ncbi.nlm.nih.gov/books/NBK470410/ A Rampage Through the Body https://www.science.org/content/article/how-does-coronavirus-kill-clinicians-trace-ferocious-rampage-through-body-brain-toes Avian Influenza (Bird Flu) https://emedicine.medscape.com/article/2500029-overview WHO EG.5 Initial Risk Evaluation, 9 August 2023 https://www.who.int/docs/default-source/coronaviruse/09082023eg.5_ire_final.pdf Updated Working Definitions and Primary Actions for SARS-CoV-2 Variants https://www.who.int/publications/m/item/updated-working-definitions-and-primary-actions-for--sars-cov-2-variants Risk Assessment Summary for SARS-CoV-2 Sublineage BA.2.86 https://www.cdc.gov/respiratory-viruses/whats-new/covid-19-variant.html#

Identifying and Managing Patients With Long COVID

Drs Matteo Bassetti and Romain Sonneville discuss identifying long COVID in patients and how to discuss post-COVID syndrome with patients and other healthcare providers. Relevant disclosures can be found with the episode show notes on Medscape (https://www.medscape.com/viewarticle/989641). The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for healthcare professionals. Resources Coronavirus Disease 2019 (COVID-19) Treatment & Management https://emedicine.medscape.com/article/2500114-treatment Long Coronavirus 2019 (COVID-19) https://emedicine.medscape.com/article/2500143-overview Post-COVID Syndrome: An Insight on Its Pathogenesis https://pubmed.ncbi.nlm.nih.gov/34066007/ Acute Neurologic Complications of COVID-19 and Postacute Sequelae of COVID-19 https://pubmed.ncbi.nlm.nih.gov/35667743/ Infection Mechanism of SARS-COV-2 and Its Implication on the Nervous System https://pubmed.ncbi.nlm.nih.gov/33584720/ Cardiac Manifestations of Coronavirus (COVID-19) https://www.ncbi.nlm.nih.gov/books/NBK556152/ Efficacy of First Dose of COVID-19 Vaccine Versus No Vaccination on Symptoms of Patients With Long COVID: Target Trial Emulation Based on ComPaRe E-cohort https://pubmed.ncbi.nlm.nih.gov/36910458/ Clinical Characteristics and Outcomes in Elderly With Coronavirus Disease 2019 in Beijing, China: A Retrospective Cohort Study https://pubmed.ncbi.nlm.nih.gov/33040272/ Management and Treatment of Long COVID Symptoms in General Practices: An Online-based Survey https://pubmed.ncbi.nlm.nih.gov/36176520/ Chronic Fatigue Syndrome (Myalgic Encephalomyelitis) https://emedicine.medscape.com/article/235980-overview

Highlighting the Various Treatment Options for Patients With COVID-19

Drs Matteo Bassetti and Tobias Welte discuss highlights in the treatment of patients with COVID-19, including a discussion of antivirals, corticosteroids, monoclonal antibodies, and what lies ahead for future treatment options. Relevant disclosures can be found with the episode show notes on Medscape (https://www.medscape.com/viewarticle/989640). The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for healthcare professionals. Resources Coronavirus Disease 2019 (COVID-19) Treatment & Management https://emedicine.medscape.com/article/2500114-treatment Anti-CD20 Monoclonal Antibody TL011 https://www.cancer.gov/publications/dictionaries/cancer-drug/def/anti-cd20-monoclonal-antibody-tl011 Rituximab (Rx) https://reference.medscape.com/drug/rituxan-truxima-rituximab-342243 Coronavirus Disease 2019 (COVID-19) https://emedicine.medscape.com/article/2500114-overview SARS-CoV-2 Variants https://www.idsociety.org/covid-19-real-time-learning-network/emerging-variants/emerging-covid-19-variants/ Not Just Antibodies: B Cells and T Cells Mediate Immunity to COVID-19 https://pubmed.ncbi.nlm.nih.gov/32839569/ Antivirals, Including Antibody Products https://www.covid19treatmentguidelines.nih.gov/therapies/antivirals-including-antibody-products/ Hydrocortisone in Severe Community-acquired Pneumonia https://pubmed.ncbi.nlm.nih.gov/36942789/ Molnupiravir (Investigational) https://reference.medscape.com/drug/lagevrio-molnupiravir-4000252 Nirmatrelvir/ritonavir (Rx) https://reference.medscape.com/drug/paxlovid-nirmatrelvir-ritonavir-4000259 Remdesivir (Rx) https://reference.medscape.com/drug/veklury-remdesivir-4000090 Anti-SARS-CoV-2 Monoclonal Antibodies https://www.covid19treatmentguidelines.nih.gov/therapies/antivirals-including-antibody-products/anti-sars-cov-2-monoclonal-antibodies/ Considerations for SARS-CoV-2 Antigen Testing for Healthcare Providers Testing Individuals in the Community https://www.cdc.gov/coronavirus/2019-ncov/lab/resources/antigen-tests-guidelines.html

Management of COVID-19 in Vulnerable Populations

Drs Matteo Bassetti and Oliver Cornely advise to "use the best treatments first" in discussing how to manage COVID-19 in patients who are immunocompromised. Relevant disclosures can be found with the episode show notes on Medscape (https://www.medscape.com/viewarticle/989639). The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for healthcare professionals. Resources VACCELERATE Network https://vaccelerate.eu/ Duration of Protection From Pneumonia After Pneumococcal Vaccination in Hemodialysis Patients (DOPPIO) https://clinicaltrials.gov/ct2/show/NCT03350425 Remdesivir Prescribing Information https://www.gilead.com/-/media/files/pdfs/medicines/covid-19/veklury/veklury_pi.pdf Paxlovid Dosing and Prescribing Reference Guide https://www.paxlovidhcp.com/files/PP-PAX-USA-0296_Dosing_Prescribing_Reference_Guide_L35.pdf Molnupiravir and Nirmatrelvir-Ritonavir: Oral Coronavirus Disease 2019 Antiviral Drugs https://pubmed.ncbi.nlm.nih.gov/35245942/ Influenza Vaccination Uptake in the General Italian Population During the 2020-2021 Flu Season: Data From the EPICOVID-19 Online Web-Based Survey https://pubmed.ncbi.nlm.nih.gov/35214751/ COVID-19 Infection in Adult Patients With Hematological Malignancies: A European Hematology Association Survey (EPICOVIDEHA) https://pubmed.ncbi.nlm.nih.gov/34649563/ Clinical Characteristics and Risk Factors Associated With COVID-19 Severity in Patients With Haematological Malignancies in Italy: A Retrospective, Multicentre, Cohort Study https://pubmed.ncbi.nlm.nih.gov/32798473/